Duration of Pregnancy (in weeks): |
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Mode of Delivery: |
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Date of Delivery: |
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Blood Loss: |
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Condition of Mother: |
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Apgar Score (1 min): |
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Apgar Score (5 min): |
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Apgar Score (10 min): |
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Resuscitation Done: |
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Place of Delivery: |
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Delivery Conducted By: |
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Drug |
Dose |
Dose Units |
Frequency |
Duration |
Duration Units |
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